Rodney Charles (NPI# 1750371589, PAC ID# 1456458264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1750371589 |
| PAC ID by PECOS | 1456458264 |
| Professional Enrollment ID | I20070511000546 |
| Full Name | Rodney Charles |
| Organization Legal Name | BAYOU MENTAL HEALTH OF ALEXANDRIA AND DERIDDER |
| Address |
113 Blue Ridge Rd Deridder LA 70634-6038 |
| Phone Number | 3372213040 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8426346321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190026 | RAPIDES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 113 Blue Ridge Rd, Deridder, LA 70634-6038 | 3372213040 | BAYOU MENTAL HEALTH OF ALEXANDRIA AND DERIDDER |
| Organization Legal Name | BAYOU MENTAL HEALTH OF ALEXANDRIA AND DERIDDER |
| Physicians | 1 |
| Street Address |
113 BLUE RIDGE RD |
| City | DERIDDER |
| State | LA |
| Zip | 70634-6038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Warren Hearne | Physical Therapy | Residential Therapy Solutions, LLC | 19503 Hwy 171, Residential Therapy Solutions, Deridder, LA 70634 |
| Cody Ray Leblanc | Physical Therapy | Residential Therapy Solutions, LLC | 19503 Hwy 171, Residential Therapy Solutions, Deridder, LA 70634 |
| Jayson G Cortez | Podiatry | The Foot Clinic of West Louisiana | 901 Shirley St, Deridder, LA 70634-3737 |
| Jimmie B Harvey | Podiatry | The Foot Clinic of West Louisiana | 901 Shirley St, Deridder, LA 70634-3737 |
| James W Jenkins | Chiropractic | 304 N Pine St, Deridder, LA 70634-3904 | |
| Heather N Nortman | Nurse Practitioner | Byrd Medical Clinic Inc | 427 N Pine St, Deridder, LA 70634-3905 |
| Pamela J Havens | Nurse Practitioner | Imperial Calcasieu Human Services Authority | 106 W Port, Beauregard Behavioral Health Clinic, Deridder, LA 70634-4040 |
| John Egan Jones | Clinical Social Worker | Imperial Calcasieu Human Services Authority | 106 W Port, Deridder, LA 70634-4040 |
| Edwin S Urbi | Psychiatry | 1420 Blankenship Dr, Deridder, LA 70634-4604 | |
| Tawfik M Mukhtar-benghozi | Psychiatry | 1420 Blankenship Dr, Deridder, LA 70634-4604 | |
| Find all physicians in zip 70634 | |||
| City | DERIDDER |
| Zip Code | 70634 |
| Specialty | PSYCHIATRY |
| City + Specialty | DERIDDER + PSYCHIATRY |
Please comment or provide details below to improve the information on Rodney Charles.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.